Renal Failure Undergoing Hemodialysis Therapy Research Articles

Family Efforts in Improving Life Quality of Patients with Chronic Kidney Failure, Undergoing Hemodialysis Therapy

Chronic kidney failure or end-stage kidney disease can impair kidney function. It is progressive and irreversible. One way to maintain survival is hemodialysis. The dependence on hemodialysis will reduce the quality of life of patients. This research aimed to describe, analyze and interpret family efforts to improve the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in Dr. Achmad Mochtar Bukittinggi. This research was qualitative, using a phenomenological approach conducted in July 2019. The research population was 118 people. Six people were chosen as the samples using the purposive sampling technique. The data were collected through in-depth interviews and analyzed by the Colaizzi method. The research results showed that the family efforts in improving the quality of life for patients contain four themes: 1) assisting in meeting physiological needs, 2) providing psychological support, 3) assisting in social activities, and 4) assisting in solving environmental problems. Family efforts in improving the quality of life for patients were viewed from physical health, psychological health, and social and environmental relations. So families are expected to do their best to improve the quality of life for patients.

Quality of Life of Chronic Renal Failure Patients Undergoing Hemodialysis Therapy

Background: Changes in lifestyle associated with the complex treatment of hemodialysis, which ultimately affects the mental or psychological and social of the patient. Changes in physical, psychological functioning, lack of mobility, work problems, unemployment in activities, fatigue and fear of future challenges are problems faced by people with chronic renal failure undergoing hemodialysis therapy. Objective: To determine the quality of life in chronic renal failure patients undergoing hemodialysis therapy. Method: Type of descriptive research using Analytical Survey with a total sample of 53 respondents taken with purposive sampling techniques and quality of life instruments measured with KDQOL-SF 3.6. Results: Average quality of life symptom/problem list 66.90, effect kidney disease 65.68, burden kidney disease 50.47, SF-12 Physical Health 40.69, and SF-12 Mental Health 50.20. Conclusion: The role of families and hospitals is able to improve and maintain the quality of life of chronic renal failure patients undergoing hemodialysis therapy.

Improving the Compliance of Fluid Diet of Patients with Chronic Kidney Failure with Family Support-Based Health Education

Background: Failure of kidney function can lead to complications of other health problems, one of which is the condition of excess fluid volume caused by non-compliance with fluid dietary restrictions so that it triggers hypervolemia and results in excessive circulation burden, edema, cardiovascular disorders, impaired cognitive function and can lead to cause death. It is expected that patients with chronic renal failure undergoing hemodialysis therapy can comply with the prescribed fluid diet restrictions. Therefore, in increasing compliance, strong support is needed regarding the importance of fluid diet restriction management.
 Objective: The purpose of this study was to analyze the Effect of Family Support-Based Health Education on Fluid Diet Compliance in Chronic Kidney Failure Patients.
 Methods: The design of this study was a quasi-experimental with a pre and post design approach. The population of all patients with chronic kidney failure at Islamic Hospital Of Surabaya A. Yani was 82 patients. The sample size is 48 respondents. The sampling technique used simple random sampling. Patients are given family support-based health education in an effort to increase health knowledge in improving the health status of patients with chronic kidney failure with a family support approach to improve adherence to the fluid intake diet. The analysis used the Wilcoxon Signed Ranks test with p value < 0.05.
 Results: The results of this study indicate p = 0.000 which means that there is a significant effect of Fluid Diet Adherence before and after Family Support-Based Health Education.
 Conclusion: Family Support-Based Health Education is effective in improving Fluid Diet Adherence in patients with chronic renal failure and is highly recommended for patients undergoing hemodialysis therapy.

Upaya Keluarga Dalam Meningkatkan Kualitas Hidup Pasien Hemodialisa

<p><strong><em>Background:</em></strong><em> </em><em>Chronic kidney failure or end-stage kidney disease is impaired kidney function. It is progressive and irreversible. One way to maintain survival with hemodialysis, dependence on hemodialysis will reduce the quality of life of patients. The purpose of this research was to describe, analyze and interpret family efforts to improve the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in Dr. Achmad Mochtar Bukittinggi.</em><em> </em><strong><em>Method</em></strong><em>: </em><em>The type of this research was qualitative with phenomenological approach. It was conducted on July 2019. Then, by using purposive sampling technique, 6 people had been chosen as the samples. The data were collected through in-depth interviews and it was by analyzed colaizzi method.</em><em> </em><strong><em>Results</em></strong><em>: </em><em>The results of the research obtained that about the family efforts in improving the quality of life of patients described into 4 themes: 1) assisting in meeting physiological needs, 2) providing psychological support, 3) assisting in social activities, 4) assisting in solving environmental problems. In short, family efforts both in improving the quality of life of patients were viewed from physical health, psychological health, social and environmental relations.</em><em> </em><strong><em>Conclusion</em></strong><em>: </em><em>: </em><em>Then, it is expected that families to make maximum efforts to improve the quality of life of patients.</em><em></em></p><p><em><br /></em></p><p><em><br /></em></p><p><strong>Keywords: </strong><em>Quality of Life, Hemodialysis, Family Effort</em><em></em></p><p><em><br /></em></p>

Gambaran Perubahan Tekanan Darah Pada Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis Di Ruang Hemodialisa Rumah Sakit TK. II Pelamonia Makassar

Background: The kidneys have a very important role in maintaining a healthy body. The kidneys experience acute renal failure when the kidney cannot function suddenly. Without kidney replacement therapy, deaths from metabolic disorders can occur quickly. One kidney replacement therapy can be done is hemodialysis. Although hemodialysis is safe and beneficial for patients, it does not mean without side effects. Various complications can occur when patients undergo hemodialysis one of which is intradialisis hypertension. This complication can lead to new, more complex problems, including discomfort, increasing stress affecting the quality of life, worsening the patient's condition and even causing death. Objective To determine the description of blood pressure changes in patients with chronic renal failure undergoing hemodialysis therapy in the Hemodialysis room at TK II Pelamonia Hospital Makassar. Methods: This study used a descriptive survey method with a case study approach. Results: Research shows that patients undergoing hemodialysis therapy experience changes in blood pressure in pre and post hemodialysis. Conclusion: There is an effect of hemodialysis on changes in blood pressure in patients with kidney failure in the Hemodialysis Room of TK. II Pelamonia Hospital Makassar.

HUBUNGAN PENGETAHUAN PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISISTERHADAP KEPATUHAN DIETDI RSI MALAHAYATI

Knowledge and compliance are the key to health in patients with chronic renal failure undergoing hemodialysis therapy, a diet that is consumed in excess or less will cause side effects in patients, while patients with chronic renal failure often experience deficits in nutritional intake. The purpose of this study was to determine the relationship between the level of knowledge and level of dietary compliance in patients with chronic renal failure undergoing hemodialysis therapy in an Islamic hospital instead of terrain. The method used was an observational analytic population of all patients with chronic renal failure, all patients with chronic renal failure undergoing hemodialysis therapy at an Islamic hospital actually had a field of 33 patients using a total sample. Data collection used questionnaires, independent variables of knowledge and dependent variables on diet compliance. Data were analyzed with significance α = 0.05. The results of the study showed that most (72.7%) respondents had good knowledge and almost all respondents (93.9%) were obedient in dieting. The results of the analysis obtained are ρ = 0.011, ρ> 0.005 meaning that there is no significant relationship between knowledge and dietary compliance. Knowledge greatly affects adherence to a person's diet, there are other things that affect such as patient experience, social, economic conditions, patient psychological factors, and family support for patients. For patients with chronic kidney failure who undergo hemodialysis therapy should maintain their knowledge and also be able to advise patients who have recently undergone hemodialysis therapy from their past experience and for colleagues to always give enthusiasm and motivation to patients and provide support for knowledge and information.

PENGARUH STIMULASI PEMBERIAN TABLET HISAP VITAMIN C TERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA DI RS UMUM SEMBIRING

“Chronic kidney failure is a progressive and irreversible decline in kidney function, in which the body is unable to maintain fluid balance and electrolyte metabolism. In practice, patients must limit the liquid diet to prevent complications. However, this action can affect several aspects of the human body, namely dry mouth or xerostomyadue to reduce saliva production. To reduce patient complaints, the action that can be done is to stimulate the salivary glands with chemical stimulation using acidic vitamin C lozenges. The purpose of this study was to determine the stimulating effects of vitamin C lozenges to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy at Sembiring General Hospital. This study used a Pre-experimental design with a pretest-posttest design. The sample amounted to 48 respondents, using Purposive Sampling techniques. Data analysis techniques using Paired t Test to determine whether there are significant differences in salivary secretion at the pretest and posttest. Based on statistical test Paired t Test data analysis conducted found significant differences amount of secretion of saliva before and after the value of p = 0.000 p <0.005 found a significant increase in the secretion of saliva between pretest saliva and posttest conclusion, the stimulation of the provision of lozenges vitamin C has the effect of increasing salivary secretion in patients with chronic kidney failure undergoing hemodialysis therapy at Sembiring General Hospital”.
 
 Keywords: Stimulation, Saliva Secretion, Chronic Kidney Failure.

PENGARUH STIMULASI PEMBERIAN TABLET HISAP VITAMIN C TERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA DI RS UMUM SEMBIRING

Chronic kidney failure is a progressive and irreversible decline in kidney function, in which the body is unable to maintain fluid balance and electrolyte metabolism. In practice, patients must limit the liquid diet to prevent complications. To reduce patient complaints, the action that can be done is to stimulate the salivary glands with chemical stimulation using acidic vitamin C lozenges. The purpose of this study was to determine the stimulating effects of vitamin C lozenges to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy at Sembiring General Hospital. This study used a Pre-experimental design with a pretest-posttest design. The sample amounted to 48 respondents, using Purposive Sampling techniques. Based on analysis conducted found significant differences amount of secretion of saliva before and after found a significant increase in the secretion of saliva between pretest saliva and posttest conclusion, the stimulation of the provision of lozenges vitamin C has the effect of increasing salivary secretion in patients with chronic kidney failure undergoing hemodialysis therapy at Sembiring General Hospital.

PENGARUH TERAPI KOGNITIF TERHADAP TINGKAT KECEMASAN PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA

Individuals with long- term hemodialysis often feel anxious about the pain condition that cannot be foreseen and disruption in their lives. The results of the survey conducted in hospitals Hemodialysis Space M. Yunus Bengkulu on 10 samples obtained, 6 of them experienced moderate anxiety and 4 patients experienced mild anxiety. The purpose of the study was to determine the effect of cognitive therapy on anxiety of patients with chronic renal failure undergoing hemodialysis therapy. This research is Pre Experimental design one group pretest-posttest. The population in this study were all patients with chronic renal failure undergoing hemodialysis therapy Hemodialysis Hospital in Space M. Yunus Bengkulu, which is 184 people . Samples taken by accidental sampling as many as 30 patients with chronic renal failure undergoing hemodialysis therapy . Data collected by direct interview to the patient. Data analysis was performed using univariate and bivariate Paired t-test at α 5 %. The results showed that the average anxiety patient with chronic renal failure undergoing hemodialysis therapy prior to cognitive therapy was 9.33 , while the average anxiety after cognitive therapy was 6.6. There was an average difference of anxiety before and after cognitive therapy , and there was a significant decrease between the average anxiety after cognitive therapy cognitive therapy than before in patients with chronic renal failure undergoing hemodialysis therapy Hemodialysis Hospital in Space M. Yunus Bengkulu ( p value = 0.000 ).

Family Experience in Treating Children with Chronic Renal Failure Undergoing Hemodialysis Therapy

Children who enter phase 5 of chronic renal failure need hemodialysis as a therapy. In undergoing hemodialysis, children experience various physical and psychosocial problems. Parents, as caregivers, are required to be at their children's side to overcome these problems. This study aimed to explore the experience of families in caring for children with chronic renal failure undergoing hemodialysis therapy. This research method used a descriptive phenomenological approach with in-depth interviews of seven participants. Participants were families who had a child with chronic kidney failure undergoing hemodialysis in a top referral hospital in Jakarta for at least one month. Data were analyzed using the Colaizzi technique. Five themes were identified: a) families' response to child care; b) families' coping strategies; c) the impact of child care for families; d) family support, and e) families' perceptions of changes in children undergoing hemodialysis therapy. These five themes highlighted how hemodialysis for children affected family life. Family experiences in treating children with chronic renal failure influence their life in economical, physical, psychological, intellectual, and religious ways.

THE RELATIONSHIP OF FAMILY SUPPORT WITH QUALITY OF LIFE AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE IN RUNNING HEMODIALIZATION THERAPY AT PMI HOSPITAL BOGOR

Background : Chronic kidney disease is a pathophysiological process with diverse etiology, resulting in a progressive decline in renal function, and the patients generally end up with kidney failure. Family support is a support given by families who have blood relations in favor of the health of patients with kidney failure. Quality of life is an individual perception of patients with kidney failure toward his position in life. The aim of this study was to determine the relationship of family support with the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. The method of this research uses uses descriptively analytic type with cross sectional approach. The sample of this researchconsists of 129 respondents. The sampling was taken by accidental sampling technique. The instrument in this study were questionnaires family support and quality of life. The data were analyzed by using univariate and bivariate (using the chi-square test with α = 0.05). Result : Based on the research results through 88 respondents that (68.2%) whose family support is good, then 86 respondents (93%) have a good quality of life, and 2 respondents (5%) have less quality of life. From 8 respondents (6.2%) whose family support is less, 1 respondent (2%) have a good quality of life, and 7 respondents (19%) have a less quality of life. Based on statistical test p = 0.000, it can be concluded that there is significant correlation between both variables. Clonclusion : It is concluded that there is a relationship between family support and the quality of life among patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. Through this research, it is expected to be used as a source reference of information for nurses in hemodialysis room.

PENGARUH STIMULASI PEMBERIAN TABLET HISAP VITAMIN CTERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN GAGALGINJAL KRONIK YANGMENJALANI TERAPI HEMODIALISADI RS PKU MUHAMMADIYAH GOMBONG

Chronic renal failure is a progressive deterioration in kidney function and irreversible, in where the body is unable to maintain fluid balance and electrolyte metabolism. Inpractice, patients must limit fluid diet to prevent complications. However, such action may affect some aspect of the human body, that is dry mouth or xerostomiadue to decrease saliva production. To reduce patient complaint, actions which can be done is to stimulate gland salivary with chemical stimulation using lozenges sour taste vitamin C. The aim of this study is to the determine the stimulation effect of the vitamin C lozenges provision to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital.This study used a quasi experimental design with pretest — postest design. Samples amounts 42 respondents, consisting of 21 respondents control and 21 respondents intervention by using Purposive Sampling technique. Data analysis technique using Paired t Test to determine whether there were significant differences in salivary secretion in the pretest and postest.Based on a statistical test Paired t Test found a significant increase in the salivary secretion between pretest saliva and postest one intervention group with a value of p=0,003. In conclusion, stimulation of vitamin C lozenges giving has affect to increase saliva secretion in patients with chronic renal failure undergoing hemodialysis therapy in PKU Muhammadiyah Gombong Hospital. Keywords: stimulation, secretion of saliva, chronic renal failure

Regeneration of the gastric mucosa in patients with chronic renal failure undergoing hemodialysis therapy : A clinicopathological study

慢性腎不全透析（CRF-HD）患者の胃粘膜の再生について，胃底腺粘膜の免疫組織学的検討，ならびに粘膜再生に関連する諸因子の検討を行った。CRF-HD患者を4年以上の血液透析（HD）群，4年未満のHD群，ならびに非HD群の3群に分類した。内視鏡的に採取した胃底腺粘膜の組織で免疫組織化学的にki-67の発現を検討した結果，HD群でlabeling index（LI）が80％以上の発現を呈した。しかし，粘膜再生因子として知られているgastrin,cholecystokinin（CCK）およびepidermal growth factor（EGF）は，HD群と非HD群では有意差を示さなかった。一方，H．pylori（HP）感染の有無は，HD群で陰性例が多く認められた。以上より，CRF-HD患者ではHDにより胃底腺粘膜の再生が生じることが考えられた。この要因として，HDにより胃粘膜萎縮に関与するHPなどの諸因子が排除される可能性が示峻された。

Infection of hepatitis C virus in patients with chronic renal failure undergoing hemodialysis therapy and staff members

The prevalence of antibody to hepatitis C virus (anti-HCV) was determined in 564 patients and 145 staff members of nine hemodialysis (HD) units in Nagano Prefecture using an enzyme-linked immunosorbent assay based on the C 100 HCV antigen (the first generation anti-HCV assay). And also serum HBV markers were tested in these subjects. One hundred patients (18%) were anti-C100 HCV positive, indicating that this figure represents a much higher prevalence than that (0.9%) among general population in the same geographical area. Out of 141 patients without history of blood transfusion, 17 (12%) were positive for anti-C 100 HCV, suggesting that blood-transfusions-unrelated acquisition of HCV infection can occur. Anti-HCV prevalence correlated with both the blood units transfused and the duration of HD treatment. There was a significant difference in the prevalence of anti-C 100 HCV in individual dialysis units ranging from 0% to 53%. In the dialysis unit with prevalence of 53%, approximately half of the anti-HCV positive patients were found to have chronic liver disease. The prevalence of hepatitis B virus (HBV) markers among HD patients, on the other hand, was 36% (202/564). Fifty one (51%) of 100 anti-C 100 HCV positive patients and 151 (33%) of 464 anti-C 100 HCV negative patients were positive for HBV markers, with significant difference in HBV infection rate between the 2 groups. The prevalence of chronic liver disease, defined as abnormal serum transaminase levels for more than 6 months was significantly higher in anti-HCV positive patients than in anti-HCV negative ones (39% vs 10%, p less than 0.05), suggesting that HCV infection may contribute to chronic liver disease in HD patients. Among 145 staff members, only 3 (2%) were positive for anti-HCV, whereas 25 (17%) were positive for hepatitis B core antibody (anti-HBc), indicating prior HBV infection. With applying the second generation anti-HCV assay, which can detect antibodies to both capsid and nonstructural products of HCV gene, anti-HCV prevalence increased by two times in HD patients, but didn't change in HD staff members.(ABSTRACT TRUNCATED AT 400 WORDS)

Dental management for children with chronic renal failure undergoing hemodialysis therapy

Patients with chronic renal failure who are undergoing hemodialysis therapy demonstrate problems of significant importance for dental treatment. A case is presented in which secondary hyperparathyroidism, resulting from renal failure and hemodialysis, was noted in a child. Other relationships between renal failure, hemodialysis, and dental care were also presented.